NR 509 FINAL EXAM REVIEW: ADVANCED PHYSICAL ASSESSMENT QUESTIONS … EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 509 Final Exam Review:
Advanced Physical
Assessment Questions and
Answers
Verified Answers Exam Ready With Rationales
67 QUESTIONS
DOCUMENT OVERVIEW
This document, "NR 509 Final Exam Review," offers 67 provided questions and their correct answers,
including explanations and diagrams, for advanced physical assessment. It serves as a valuable study aid
for students preparing for exams, reviewing course material, or seeking certification.
CONTENTS
01 Female Reproductive Health Q1–Q10
02 Male Reproductive & GU Health Q11–Q21
03 Pregnancy & OB Assessment Q22–Q27
04 General Assessment & Special Populations Q28–Q35
Page 1
, 05 Cardiovascular Assessment Q36–Q49
06 Abdominal Assessment Q50–Q57
07 Pediatric & Skin Assessment Q58–Q65
08 Additional Questions Q66–Q67
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 67
Suspicious breast mass
CORRECT ANSWER
-A mobile mass that becomes fixed when the arm relaxes is attached to the ribs and intercostal muscles; if fixed
when the hand is pressed against the hip, it is attached to the pectoral fascia.
-Hard irregular poorly circumscribed nodules, fixed to the skin or underlying tissues, strongly suggest cancer
Q2 QUESTION 2 OF 67
Risk for Breast cancer
CORRECT ANSWER
--Age
-family history of breast/ovarian CA
- inherited genetic mutations,
-personal history of breast cancer
- high levels of endogenous hormones
- breast tissue density
- proliferative lesions with atypia on breast biopsy, - duration of unopposed estrogen exposure related to early
menarche
-age of first full-term pregnancy
- late menopause.
- breastfeeding for less than 1 year,
- postmenopausal obesity
-cigarette smoking, alcohol ingestion,
- physical inactivity, and type of contraception.
Page 2
, Q3 QUESTION 3 OF 67
Characteristics of a breast cyst
CORRECT ANSWER
Soft to firm, round, mobile, often tender.
Q4 QUESTION 4 OF 67
The best way to examine the lateral portion of the breast
CORRECT ANSWER
-Have pt roll onto the opposite hip
-place her hand on her forehead.
- keep shoulders pressed against the bed
-palpate in the axilla, moving in a straight line down to the bra line, then move the fingers medially and palpate
in a vertical strip up the chest to the clavicle. Continue in vertical overlapping strips until you reach the nipple
Q5 QUESTION 5 OF 67
Bacterial Vaginosis (BV)
CORRECT ANSWER
-Caused by overgrowth of anaerobic bacteria (often from sex)
- Discharge: Gray or white, thin, homogenous, malodorous, coats the vaginal walls, usually not profuse, may be
minimal
- Fishy/musty genital odor
-Normal vulva and vaginal mucosa
-Scan saline wet mount for clue cells (epithelial cells with stippled borders); sniff for fishy odor after applying
KOH ("whiff test"); test the vaginal secretions for pH > 4.5
Q6 QUESTION 6 OF 67
Page 3
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 509 Final Exam Review:
Advanced Physical
Assessment Questions and
Answers
Verified Answers Exam Ready With Rationales
67 QUESTIONS
DOCUMENT OVERVIEW
This document, "NR 509 Final Exam Review," offers 67 provided questions and their correct answers,
including explanations and diagrams, for advanced physical assessment. It serves as a valuable study aid
for students preparing for exams, reviewing course material, or seeking certification.
CONTENTS
01 Female Reproductive Health Q1–Q10
02 Male Reproductive & GU Health Q11–Q21
03 Pregnancy & OB Assessment Q22–Q27
04 General Assessment & Special Populations Q28–Q35
Page 1
, 05 Cardiovascular Assessment Q36–Q49
06 Abdominal Assessment Q50–Q57
07 Pediatric & Skin Assessment Q58–Q65
08 Additional Questions Q66–Q67
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 67
Suspicious breast mass
CORRECT ANSWER
-A mobile mass that becomes fixed when the arm relaxes is attached to the ribs and intercostal muscles; if fixed
when the hand is pressed against the hip, it is attached to the pectoral fascia.
-Hard irregular poorly circumscribed nodules, fixed to the skin or underlying tissues, strongly suggest cancer
Q2 QUESTION 2 OF 67
Risk for Breast cancer
CORRECT ANSWER
--Age
-family history of breast/ovarian CA
- inherited genetic mutations,
-personal history of breast cancer
- high levels of endogenous hormones
- breast tissue density
- proliferative lesions with atypia on breast biopsy, - duration of unopposed estrogen exposure related to early
menarche
-age of first full-term pregnancy
- late menopause.
- breastfeeding for less than 1 year,
- postmenopausal obesity
-cigarette smoking, alcohol ingestion,
- physical inactivity, and type of contraception.
Page 2
, Q3 QUESTION 3 OF 67
Characteristics of a breast cyst
CORRECT ANSWER
Soft to firm, round, mobile, often tender.
Q4 QUESTION 4 OF 67
The best way to examine the lateral portion of the breast
CORRECT ANSWER
-Have pt roll onto the opposite hip
-place her hand on her forehead.
- keep shoulders pressed against the bed
-palpate in the axilla, moving in a straight line down to the bra line, then move the fingers medially and palpate
in a vertical strip up the chest to the clavicle. Continue in vertical overlapping strips until you reach the nipple
Q5 QUESTION 5 OF 67
Bacterial Vaginosis (BV)
CORRECT ANSWER
-Caused by overgrowth of anaerobic bacteria (often from sex)
- Discharge: Gray or white, thin, homogenous, malodorous, coats the vaginal walls, usually not profuse, may be
minimal
- Fishy/musty genital odor
-Normal vulva and vaginal mucosa
-Scan saline wet mount for clue cells (epithelial cells with stippled borders); sniff for fishy odor after applying
KOH ("whiff test"); test the vaginal secretions for pH > 4.5
Q6 QUESTION 6 OF 67
Page 3
